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[古代针灸治疗瘰疬的选穴规律]

[The rules of acupoint selection of acupuncture and moxibustion for scrofula in ancient times].

作者信息

Zhao Yi-Ran, Li Qian, Wang Min, Gao Ying, Chen Zhen-Yuan, Li Jing

机构信息

Institute of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of TCM, Tianjin 300193, China; National Clinical Research Center of Acupuncture and Moxibustion of TCM, Tianjin 300193.

Institute of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of TCM, Tianjin 300193, China.

出版信息

Zhongguo Zhen Jiu. 2023 Feb 12;43(2):233-8. doi: 10.13703/j.0255-2930.20220221-0002.

Abstract

Based on data mining technology, the rules of acupoint selection of acupuncture-moxibustion for scrofula in ancient times were analyzed. The relevant articles of acupuncture and moxibustion for scrofula were searched in the , and the original article, acupoint name, acupoint characteristic, and acupoint meridian tropism, etc. were screened and extracted. The Microsoft Excel 2019 was used to establish a acupoint prescription database, and the frequency of acupoints as well as their meridian tropism and characteristics were analyzed. The SPSS21.0 was applied to perform cluster analysis of acupuncture prescriptions; the SPSS Modeler 18.0 was used to perform the association rules analysis of the neck and the chest-armpit acupoints, respectively. As a result, 314 acupuncture prescriptions were extracted, including 236 single-acupoint prescriptions and 78 multiple-acupoints prescriptions (53 for neck and 25 for chest-armpit). A total of 54 acupoints were involved, with a total frequency of 530. The top 3 commonly-used acupoints were Tianjing (TE 10), Zulinqi (GB 41) and Taichong (LR 3); the most commonly-used meridians were hand meridian, foot meridian, hand meridian and foot meridian; the most commonly-used special acupoints were -sea points and stream points. The cluster analysis obtained 6 clusters, and the association rule analysis obtained that the core prescriptions of the neck were Quchi (LI 11), Jianyu (LI 15), Tianjing (TE 10) and Jianjing (GB 21), while the core prescriptions of the chest-armpit were Daling (PC 7), Yanglingquan (GB 34), Danzhong (CV 17), Jianjing (GB 21), Waiguan (TE 5), Zhigou (TE 6), Yuanye (GB 22) and Zhangmen (LR 13). The core prescriptions obtained from association rule analysis by difference areas were basically consistent with those by cluster analysis of total prescriptions.

摘要

基于数据挖掘技术,分析古代艾灸治疗瘰疬的选穴规律。在相关数据库中检索艾灸治疗瘰疬的相关文献,并筛选提取原文、穴位名称、穴位特性、穴位经络归经等信息。运用Microsoft Excel 2019建立穴位处方数据库,分析穴位出现频次及其经络归经和特性。应用SPSS21.0对针灸处方进行聚类分析;使用SPSS Modeler 18.0分别对颈部和胸腋部穴位进行关联规则分析。结果,共提取314条针灸处方,其中单穴处方236条,多穴处方78条(颈部53条,胸腋部25条)。共涉及54个穴位,总频次为530次。常用的前3位穴位为天井(TE 10)、足临泣(GB 41)和太冲(LR 3);最常用的经络为手经、足经、手经和足经;最常用的特定穴为合穴和输穴。聚类分析得到6个聚类组,关联规则分析得出颈部的核心处方为曲池(LI 11)、肩髃(LI 15)、天井(TE 10)和肩井(GB 21),胸腋部的核心处方为大陵(PC 7)、阳陵泉(GB 34)、膻中(CV 17)、肩井(GB 21)、外关(TE 5)、支沟(TE 6)、渊腋(GB 22)和章门(LR 13)。不同部位关联规则分析得出的核心处方与总处方聚类分析得到的基本一致。

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